<!DOCTYPE html>
<html lang="en">
<head>
    <meta charset="UTF-8">
    <title>提交申请</title>
    <meta name="renderer" content="webkit">
    <meta http-equiv="X-UA-Compatible" content="IE=edge,chrome=1">
    <meta name="viewport" content="width=device-width, initial-scale=1, maximum-scale=1">
    <link rel="stylesheet" href="../static/layui/css/layui.css" media="all">
    <script src="../static/layui/layui.js"></script>
{#    <script src="../static/layui/lay/modules/layer.js"></script>#}
{#    <script src="../static/layui/lay/modules/jquery.js"></script>#}
{#	<script src="../static/layui/lay/modules/laydate.js"></script>#}

</head>
<body>
<fieldset class="layui-elem-field layui-field-title" style="margin-top: 30px;">
  <legend>请选择您要申请的业务</legend>
</fieldset>
{% for massage in get_flashed_messages() %}
    <div><p style="text-align: center">{{ massage }}</p></div>
{% endfor %}
<div class="layui-collapse" lay-filter="test">
  <div class="layui-colla-item">
    <h2 class="layui-colla-title">复学类申请</h2>
    <div class="layui-colla-content">
	    <fieldset class="layui-elem-field" style="border-radius: 10px;" align="center">
		  <legend>复学类申请</legend>
		  <div class="layui-field-box">
			  
			<form class="layui-form layui-form-pane" action="{{ url_for('front') }}" method="post"><p style="display: none">{{ form.matter(value='复学') }}</p>
					<div class="layui-form">
			    <div class="layui-form-item">
			  	<div class="layui-inline">
			  	  <label class="layui-form-label">姓&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;名</label>
			  	  <div class="layui-input-inline">
			  		 {{ form.name(class="layui-input",placeholder='请输入您的姓名') }}
			  	  </div>
			  	</div>	  
			  	
			  <div class="layui-form">
			    <div class="layui-form-item">
			  	<div class="layui-inline">
			  	  <label class="layui-form-label">学&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;号</label>
			  	  <div class="layui-input-inline">
			  		 {{ form.stu_num(class="layui-input",placeholder="请输入您的学号") }}
			  	  </div>
			  	</div>
				
				<div class="layui-form">
				  <div class="layui-form-item">
					<div class="layui-inline">
					  <label class="layui-form-label">申请原因</label>
					  <div class="layui-input-inline">
                          {{ form.reason(placeholder="请输入您办理此事项的原因",class="layui-textarea") }}
{#						 {{ form.reason(placeholder="请输入您办理此事项的原因",class="layui-textarea") }}#}
					  </div>
					</div>
				
			  
			    <div class="layui-form-item">
					<div class="layui-input-block">
<button type="reset" class="layui-btn layui-btn-primary">重置</button>					  {{ form.Submit(class="layui-btn") }}
					  
					</div>
				</div>
			</form>

		</fieldset>
    </div>
  </div>
  <div class="layui-colla-item">
    <h2 class="layui-colla-title">转专业申请</h2>
    <div class="layui-colla-content">
			
	    <fieldset class="layui-elem-field"  style="border-radius: 10px;" align="center">
		  <legend>转专业申请</legend>
		  <div class="layui-field-box">
			  
			<form class="layui-form layui-form-pane" action="{{ url_for('front') }}" method="post"><p style="display: none">{{ form.matter(value='转专业') }}</p>
			  <div class="layui-form">
			  <div class="layui-form-item">
			  <div class="layui-inline">
			    <label class="layui-form-label">姓&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;名</label>
			    <div class="layui-input-inline">
			  	 {{ form.name(class="layui-input",placeholder='请输入您的姓名') }}
			    </div>
			  </div>	
			  <div class="layui-form">
			    <div class="layui-form-item">
			  	<div class="layui-inline">
			  	  <label class="layui-form-label">学&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;号</label>
			  	  <div class="layui-input-inline">
			  		 {{ form.stu_num(class="layui-input",placeholder="请输入您的学号") }}
			  	  </div>
			  	</div>

                    <div class="layui-form" style="margin-top: 12px;display: none">
					  <div class="layui-form-item">
						<div class="layui-inline">
						  <label class="layui-form-label">所在院系</label>
						  <div class="layui-input-inline">
                              {{ form.campus(class="layui-input",value="none") }}
{#							 <input type="text" class="layui-input" placeholder="请输入您所在的院系">#}
						  </div>
						</div>
						</div>例如：软件学院
                    </div>

						<div class="layui-form" style="display: none">
						  <div class="layui-form-item">
							<div class="layui-inline">
							  <label class="layui-form-label">所在专业</label>
							  <div class="layui-input-inline">
                                  {{ form.discipline(class="layui-input",value="none") }}
{#								 <input type="text" class="layui-input" placeholder="请输入您所在的专业">#}
							  </div>
							</div>
							</div>
                        </div>
			  
			  
				<div class="layui-form">
				  <div class="layui-form-item">
					<div class="layui-inline">
					  <label class="layui-form-label">原宿舍号</label>
					  <div class="layui-input-inline">
                          {{ form.dom_dorm(class="layui-input",placeholder="请输入宿舍号") }}
{#						 <input type="text" class="layui-input" placeholder="请输入宿舍号(限制三位)">#}
					  </div>
					</div>
				

			  <div class="layui-form">
			    <div class="layui-form-item">
			  	<div class="layui-inline">
			  	  <label class="layui-form-label">申请原因</label>
			  	  <div class="layui-input-inline">
			  		 {{ form.reason(placeholder="请输入您办理此事项的原因",class="layui-textarea") }}
			  	  </div>
			  	</div>
			  </div>

			    <div class="layui-form-item">
					<div class="layui-input-block">
<button type="reset" class="layui-btn layui-btn-primary">重置</button>
                        {{ form.Submit(class="layui-btn") }}
					  
					</div>
				</div>
			</form>
		</fieldset>
			
    </div>
  </div>
  <div class="layui-colla-item">
    <h2 class="layui-colla-title">休学类申请</h2>
    <div class="layui-colla-content">

	    <fieldset class="layui-elem-field" style="border-radius: 10px;" align="center">
		  <legend>休学类申请</legend>
		  <div class="layui-field-box">
			  
			<form class="layui-form layui-form-pane" action="{{ url_for('front') }}" method="post"><p style="display: none">{{ form.matter(value='休学') }}</p>
			  <div class="layui-form-item">
				<div class="layui-inline">
				  <label class="layui-form-label">姓&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;名</label>
				  <div class="layui-input-inline">
                      {{ form.name(class="layui-input",placeholder='请输入您的姓名') }}
{#					 {{ form.name(class="layui-input",placeholder='请输入您的姓名') }}#}
				  </div>
				</div>
				</div>
				<div class="layui-form">
				  <div class="layui-form-item">
					<div class="layui-inline">
					  <label class="layui-form-label">学&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;号</label>
					  <div class="layui-input-inline">
                          {{ form.stu_num(class="layui-input",placeholder="请输入您的学号") }}
					  </div>
					</div>
					</div>
			  
				  <!-- <div class="layui-form-item">
						<div class="layui-inline">
					<label class="layui-form-label" align="center">性&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;别</label>
					<div class="layui-input-inline">
					  <input type="radio" name="sex" value="男" title="男" checked="checked">
					  <input type="radio" name="sex" value="女" title="女">
					</div>
				  </div>
					</div> -->
			  
			  <div class="layui-form">
			    <div class="layui-form-item">
			  	<div class="layui-inline">
			  	  <label class="layui-form-label">个人联系方式</label>
			  	  <div class="layui-input-inline">
                      {{ form.per_tel(class="layui-input",placeholder="请输入个人联系方式") }}
			  	  </div>
			  	</div>
			  	</div>
					
					<div class="layui-form">
					  <div class="layui-form-item">
						<div class="layui-inline">
						  <label class="layui-form-label">家庭联系方式</label>
						  <div class="layui-input-inline">
							 {{ form.home_tel(class="layui-input",placeholder="请输入家庭联系方式") }}
						  </div>
						</div>
						</div>
						<!-- 待做：此处需做限制字符处理 -->
						<div class="layui-form">
						  <div class="layui-form-item">
							<div class="layui-inline">
							  <label class="layui-form-label">通讯地址</label>
							  <div class="layui-input-inline">
								 {{ form.home_address(class="layui-input",placeholder="请输入您的联系地址") }}
							  </div>
							</div>
							</div>
							
							<div class="layui-form">
							  <div class="layui-form-item">
								<div class="layui-inline">
								  <label class="layui-form-label">申请原因</label>
								  <div class="layui-input-inline">
                                      {{ form.reason(placeholder="请输入您申请休学的原因",class="layui-textarea") }}
{#									 <textarea placeholder="请输入您申请休学的原因" class="layui-textarea"></textarea>#}
								  </div>
								</div>
								</div>
					
			  
			    <div class="layui-form-item">
					<div class="layui-input-block">
												<button type="reset" class="layui-btn layui-btn-primary">重置</button>

					  {{ form.Submit(class="layui-btn") }}
					  
					</div>
				</div>
			</form>

		</fieldset>

  </div>
  <div class="layui-colla-item">
    <h2 class="layui-colla-title">退学类申请</h2>
    <div class="layui-colla-content">

	    <fieldset class="layui-elem-field" style="border-radius: 10px;" align="center">
	      <legend>退学类申请</legend>
	      <div class="layui-field-box">
	    	  
			<form class="layui-form layui-form-pane" action="{{ url_for('front') }}" method="post"><p style="display: none">{{ form.matter(value='退学') }}</p>
	    	  <div class="layui-form-item">
	    		<div class="layui-inline">
	    		  <label class="layui-form-label">姓&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;名</label>
	    		  <div class="layui-input-inline">
	    			 {{ form.name(class="layui-input",placeholder='请输入您的姓名') }}
	    		  </div>
	    		</div>
	    		</div>
	    		<div class="layui-form">
	    		  <div class="layui-form-item">
	    			<div class="layui-inline">
	    			  <label class="layui-form-label">学&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;号</label>
	    			  <div class="layui-input-inline">
	    				 {{ form.stu_num(class="layui-input",placeholder="请输入您的学号") }}
	    			  </div>
	    			</div>
	    			</div>
	    	  
	    	  <div class="layui-form">
	    	    <div class="layui-form-item">
	    	  	<div class="layui-inline">
	    	  	  <label class="layui-form-label">个人联系方式</label>
	    	  	  <div class="layui-input-inline">
	    	  		 {{ form.per_tel(class="layui-input",placeholder='请输入您的联系方式') }}
	    	  	  </div>
	    	  	</div>
	    	  	</div>
	    			
	    			<div class="layui-form">
	    			  <div class="layui-form-item">
	    				<div class="layui-inline">
	    				  <label class="layui-form-label">家人联系方式</label>
	    				  <div class="layui-input-inline">
	    					 {{ form.home_tel(class="layui-input",placeholder="请输入家庭联系方式") }}
	    				  </div>
	    				</div>
	    				</div>
							
							<div class="layui-form">
							  <div class="layui-form-item">
								<div class="layui-inline">
								  <label class="layui-form-label">通讯地址</label>
								  <div class="layui-input-inline">
                                      {{ form.home_address(class="layui-input",placeholder="请输入您的联系地址") }}
{#									 <input type="text" class="layui-input" placeholder="请输入您的联系地址">#}
								  </div>
								</div>
								</div>
							
	    				<!-- 待做：此处需做限制字符处理 -->
	    				<div class="layui-form">
	    				  <div class="layui-form-item">
	    					<div class="layui-inline">
	    					  <label class="layui-form-label">申请原因</label>
	    					  <div class="layui-input-inline">
                                  {{ form.reason(placeholder="请输入您申请退学的原因",class="layui-textarea") }}
{#	    						 <textarea placeholder="请输入您申请退学的原因" class="layui-textarea"></textarea>#}
	    					  </div>
	    					</div>
	    					</div>
	    			
	    	  
	    	    <div class="layui-form-item">
	    			<div class="layui-input-block">
	    										<button type="reset" class="layui-btn layui-btn-primary">重置</button>

	    			  {{ form.Submit(class="layui-btn") }}
	    			  
	    			</div>
	    		</div>
	    	</form>
	    
	    </fieldset>

    </div>
  </div>
  <div class="layui-colla-item">
    <h2 class="layui-colla-title">学历证明申请</h2>
    <div class="layui-colla-content">

	    <fieldset class="layui-elem-field" style="border-radius: 10px;" align="center">
		  <legend>学历证明申请</legend>
		  <div class="layui-field-box">
			  
			<form class="layui-form layui-form-pane" action="{{ url_for('front') }}" method="post"><p style="display: none">{{ form.matter(value='学历') }}</p>
			    <div class="layui-form-item">
			  	<div class="layui-inline">
			  	  <label class="layui-form-label">姓&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;名</label>
			  	  <div class="layui-input-inline">
			  		 {{ form.name(class="layui-input",placeholder='请输入您的姓名') }}
			  	  </div>
			  	</div>
			  	</div>
			  	<div class="layui-form">
			  	  <div class="layui-form-item">
			  		<div class="layui-inline">
			  		  <label class="layui-form-label">学&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;号</label>
			  		  <div class="layui-input-inline">
			  			 {{ form.stu_num(class="layui-input",placeholder="请输入您的学号") }}
			  		  </div>
			  		</div>
			  		</div>
			  
					
					<div class="layui-form-item">
					    <div class="layui-inline">
						    <label class="layui-form-label">所属校区</label>
						        <div class="layui-input-inline">
{#							<select name="quiz">#}
                                {{ form.school }}
{#								<option value="">请选择您所在的校区</option>#}
{#									<option value="龙子湖校区">龙子湖校区</option>#}
{#									<option value="北林校区">北林校区</option>#}
{#									<option value="英才校区">英才校区</option>#}
{#							</select>#}
{#                            {{ form.school }}#}
						</div>
					</div>

					
					<div class="layui-form" style="margin-top: 12px;">
					  <div class="layui-form-item">
						<div class="layui-inline">
						  <label class="layui-form-label">所在院系</label>
						  <div class="layui-input-inline">
                              {{ form.campus(class="layui-input",placeholder="请输入您所在的院系") }}
{#							 <input type="text" class="layui-input" placeholder="请输入您所在的院系">#}
						  </div>
						</div>
						</div>例如：软件学院
						
						<div class="layui-form">
						  <div class="layui-form-item">
							<div class="layui-inline">
							  <label class="layui-form-label">所在专业</label>
							  <div class="layui-input-inline">
                                  {{ form.discipline(class="layui-input",placeholder="请输入您所在的专业") }}
{#								 <input type="text" class="layui-input" placeholder="请输入您所在的专业">#}
							  </div>
							</div>
							</div>
							
							<div class="layui-form-item">
							<div class="layui-inline">
								<label class="layui-form-label">学&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;制</label>
								<div class="layui-input-inline">
									{{ form.leng_school }}
								</div>
							</div>

                                <div class="layui-form-item">
							<div class="layui-inline">
							  <label class="layui-form-label">开始时间</label>
							  <div class="layui-input-inline">
                                  {{ form.school_sttime(class="layui-input",placeholder="年/月/日",type="date") }}
{#								 <input type="text" class="layui-input" placeholder="请输入您所在的专业">#}
							  </div>
							</div>
							</div>

                                <div class="layui-form-item">
							<div class="layui-inline">
							  <label class="layui-form-label">截止时间</label>
							  <div class="layui-input-inline">
                                  {{ form.school_endtime(class="layui-input",placeholder="年/月/日",type="date") }}
{#								 <input type="text" class="layui-input" placeholder="请输入您所在的专业">type="text" class="layui-input" id="test17" placeholder="年/月/日"#}
							  </div>
							</div>
							</div>

							<div class="layui-form" style="margin-top: 12px;">
							  <div class="layui-form-item">
								<div class="layui-inline">
								  <label class="layui-form-label">证书编号</label>
								  <div class="layui-input-inline">

									{{ form.code(class="layui-input",placeholder="请输入您的证书编号") }}
{#									 <input type="text" class="layui-input" placeholder="请输入您的证书编号">#}
								  </div>
								</div>
								</div>
								
								<div class="layui-form">
								  <div class="layui-form-item">
									<div class="layui-inline">
									  <label class="layui-form-label">申请原因</label>
									  <div class="layui-input-inline">
                                          {{ form.reason(placeholder="请输入您申请学历证明的原因",class="layui-textarea") }}
{#										 <textarea placeholder="请输入您申请学历证明的原因" class="layui-textarea"></textarea>#}
									  </div>
									</div>
									</div>
				
			
			    <div class="layui-form-item">
					<div class="layui-input-block">
<button type="reset" class="layui-btn layui-btn-primary">重置</button>
					  {{ form.Submit(class="layui-btn") }}
					  
					</div>
				</div>
			</form>

		</fieldset>


    </div>
  </div>
  <div class="layui-colla-item">
    <h2 class="layui-colla-title">保留学籍申请</h2>
    <div class="layui-colla-content">

	    <fieldset class="layui-elem-field" style="border-radius: 10px;" align="center">
		  <legend>保留学籍申请</legend>
		  <div class="layui-field-box">
			  
			<form class="layui-form layui-form-pane" action="{{ url_for('front') }}" method="post"><p style="display: none">{{ form.matter(value='保留学籍') }}</p>
			  <div class="layui-form-item">
			  <div class="layui-inline">
			    <label class="layui-form-label">姓&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;名</label>
			    <div class="layui-input-inline">
			  	 {{ form.name(class="layui-input",placeholder='请输入您的姓名') }}
			    </div>
			  </div>
			  </div>
			  <div class="layui-form">
			    <div class="layui-form-item">
			  	<div class="layui-inline">
			  	  <label class="layui-form-label">学&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;号</label>
			  	  <div class="layui-input-inline">
			  		 {{ form.stu_num(class="layui-input",placeholder="请输入您的学号") }}
			  	  </div>
			  	</div>
			  	</div>
			  
			 <div class="layui-form">
			   <div class="layui-form-item">
			 	<div class="layui-inline">
			 	  <label class="layui-form-label">个人联系方式</label>
			 	  <div class="layui-input-inline">
			 		 {{ form.per_tel(class="layui-input",placeholder='请输入个人联系方式') }}
			 	  </div>
			 	</div>
			 	</div>
			 	
			 	<div class="layui-form">
			 	  <div class="layui-form-item">
			 		<div class="layui-inline">
			 		  <label class="layui-form-label">家人联系方式</label>
			 		  <div class="layui-input-inline">
                          {{ form.home_tel(class="layui-input",placeholder="请输入家庭联系方式") }}
			 		  </div>
			 		</div>
			 		</div>
					
					<div class="layui-form">
					  <div class="layui-form-item">
						<div class="layui-inline">
						  <label class="layui-form-label">联系地址</label>
						  <div class="layui-input-inline">
                              {{ form.home_address(class="layui-input",placeholder="请输入您的联系地址") }}
						  </div>
						</div>
						</div>

                        <div class="layui-form-item" style="display: none">
							<div class="layui-inline">
							  <label class="layui-form-label">截止时间</label>
							  <div class="layui-input-inline" name="niho">
                                  {{ form.school_endtime(class="layui-input",placeholder="年/月/日",type="date") }}
{#                                  {{ form.school_endtime == f }}#}

                                  {#                                 {% if form.school_endtime(class="layui-input",placeholder="年/月/日",type="date") == ''%}
{#								 <input type="text" class="layui-input" placeholder="请输入您所在的专业">type="text" class="layui-input" id="test17" placeholder="年/月/日"#}
							  </div>
							</div>
							</div>
						
						<div class="layui-form">
						  <div class="layui-form-item">
							<div class="layui-inline">
							  <label class="layui-form-label">申请原因</label>
							  <div class="layui-input-inline">
                                  {{ form.reason(placeholder="请输入您申请保留学籍的原因",class="layui-textarea") }}
{#								 <textarea placeholder="请输入您申请保留学籍的原因" class="layui-textarea"></textarea>#}
							  </div>
							</div>
							</div>
							
			    <div class="layui-form-item">
					<div class="layui-input-block">
<button type="reset" class="layui-btn layui-btn-primary">重置</button>
					  {{ form.Submit(class="layui-btn") }}
					  
					</div>
				</div>
			</form>

		</fieldset>


    </div>
  </div>
  <div class="layui-colla-item">
    <h2 class="layui-colla-title">注销学籍申请</h2>
    <div class="layui-colla-content">
  
	<fieldset class="layui-elem-field" style="border-radius: 10px;" align="center">
	<legend>注销学籍申请</legend>
	<div class="layui-field-box">
	  
			<form class="layui-form layui-form-pane" action="{{ url_for('front') }}" method="post"><p style="display: none">{{ form.matter(value='注销') }}</p>
	  <div class="layui-form-item">
	  <div class="layui-inline">
	    <label class="layui-form-label">姓&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;名</label>
	    <div class="layui-input-inline">
	  	 {{ form.name(class="layui-input",placeholder='请输入您的姓名') }}
	    </div>
	  </div>
	  </div>
	  <div class="layui-form">
	    <div class="layui-form-item">
	  	<div class="layui-inline">
	  	  <label class="layui-form-label">学&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;号</label>
	  	  <div class="layui-input-inline">
	  		 {{ form.stu_num(class="layui-input",placeholder="请输入您的学号") }}
	  	  </div>
	  	</div>
	  	</div>
			
		  <div class="layui-form">
		    <div class="layui-form-item">
		  	<div class="layui-inline">
		  	  <label class="layui-form-label">申请原因</label>
		  	  <div class="layui-input-inline">
                  {{ form.reason(placeholder="请输入您申请注销学籍的原因",class="layui-textarea") }}
{#		  		 <textarea placeholder="请输入您申请注销学籍的原因" class="layui-textarea"></textarea>#}
		  	  </div>
		  	</div>
		  	</div>
		    <div class="layui-form-item">
				<div class="layui-input-block">
<button type="reset" class="layui-btn layui-btn-primary">重置</button>
				  {{ form.Submit(class="layui-btn") }}
				  
				</div>
			</div>
		</form>
	
	</fieldset>
	
    </div>
  </div>
  <div class="layui-colla-item">
    <h2 class="layui-colla-title">在校生学籍证明申请</h2>
    <div class="layui-colla-content">

	    <fieldset class="layui-elem-field" style="border-radius: 10px;" align="center">
		  <legend>在校生学籍证明申请</legend>
		  <div class="layui-field-box">
			  
			<form class="layui-form layui-form-pane" action="{{ url_for('front') }}" method="post"><p style="display: none">{{ form.matter(value='学籍') }}</p>
			  <div class="layui-form-item">
			  <div class="layui-inline">
			    <label class="layui-form-label">姓&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;名</label>
			    <div class="layui-input-inline">
			  	 {{ form.name(class="layui-input",placeholder='请输入您的姓名') }}
			    </div>
			  </div>
			  </div>
			  <div class="layui-form">
			    <div class="layui-form-item">
			  	<div class="layui-inline">
			  	  <label class="layui-form-label">学&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;号</label>
			  	  <div class="layui-input-inline">
			  		 {{ form.stu_num(class="layui-input",placeholder="请输入您的学号") }}
			  	  </div>
			  	</div>
			  	</div>

                  <div class="layui-form-item">
			  	<div class="layui-inline">
			  	  <label class="layui-form-label">身份证号</label>
			  	  <div class="layui-input-inline">
			  		 {{ form.identity(class="layui-input",placeholder="请输入您的身份证号") }}
			  	  </div>
			  	</div>
			  	</div>
					
					<div class="layui-form-item">
					<div class="layui-inline">
						<label class="layui-form-label">学&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;制</label>
						<div class="layui-input-inline">
                            {{ form.leng_school }}
						</div>
					</div>
					
				  <div class="layui-form" style="margin-top: 12px;">
				    <div class="layui-form-item">
				  	<div class="layui-inline">
				  	  <label class="layui-form-label">申请原因</label>
				  	  <div class="layui-input-inline">
                          {{ form.reason(placeholder="请输入您申请在校生学籍证明的原因",class="layui-textarea") }}
{#				  		 <textarea placeholder="请输入您申请在校生学籍证明的原因" class="layui-textarea"></textarea>#}
				  	  </div>
				  	</div>
				  	</div>
						
			    <div class="layui-form-item">
					<div class="layui-input-block">
                        <button type="reset" class="layui-btn layui-btn-primary">重置</button>

					  {{ form.Submit(class="layui-btn",alert=message) }}
					</div>
				</div>
			</form>

		</fieldset>

    </div>
  </div>
</div>



<script>
layui.use('laydate', function(){
  var laydate = layui.laydate;
  
  //执行一个laydate实例
  laydate.render({
    elem: '#test1' //指定元素
  });
});


</script>




<script>
layui.use(['element', 'layer'], function(){
  var element = layui.element;
  var layer = layui.layer;
  
  //监听折叠
  element.on('collapse(test)', function(data){
    // layer.msg('展开状态：'+ data.show);
  });
});
</script>


{#<script language="JavaScript">#}
{#today=new Date();#}
{#niho.school_endtime.value=today.getYear()+'年'+today.getMonth()+'月'+today.getDay()+'日';#}
{#</script>#}

</body>
</html>